Provider Demographics
NPI:1588851323
Name:MORRIS, KANDY (DRPH, MPH, CPM-S, CD)
Entity type:Individual
Prefix:
First Name:KANDY
Middle Name:
Last Name:MORRIS
Suffix:
Gender:
Credentials:DRPH, MPH, CPM-S, CD
Other - Prefix:
Other - First Name:KANDACE
Other - Middle Name:
Other - Last Name:MORRIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 30085
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89173-0085
Mailing Address - Country:US
Mailing Address - Phone:725-599-3080
Mailing Address - Fax:
Practice Address - Street 1:2610 W HORIZON RIDGE PKWY STE 101
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-2870
Practice Address - Country:US
Practice Address - Phone:725-599-3080
Practice Address - Fax:855-903-4377
Is Sole Proprietor?:No
Enumeration Date:2007-09-25
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
133NN1002X, 106S00000X, 171M00000X, 172V00000X, 174H00000X, 174N00000X
DE0035443163W00000X, 163WD0400X
NV374J00000X, 176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
No163W00000XNursing Service ProvidersRegistered Nurse
No163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No172V00000XOther Service ProvidersCommunity Health Worker
No174H00000XOther Service ProvidersHealth Educator
No174N00000XOther Service ProvidersLactation Consultant, Non-RN
No374J00000XNursing Service Related ProvidersDoula